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Nurse's Role in Spiritual Care

And remember every nurse should be one who is to be depended


upon ... she must have a respect for her own calling because God's
precious gift of life is often literally placed in her hands. - Florence
Nightingale
Meeting the spiritual needs of clients has
become a recognized part of nursing care.
(Edmision, 1997)
The nurse and the pastoral care provider can
work together to assess the spiritual needs of the
ill person and support a comprehensive plan of
care.
Contemporary nursing textbooks, particularly
those addressing fundamentals of nursing and
medicalsurgical nursing, reveal that the nurses
role in both assessment of patients spiritual
needs and the provision of spiritual care is a
signifcant component of overall nursing.
Nurse as a caregiver / care provider.

Nurse as a counselor.
Spiritual Care
Is a recognized
element of holistic
care and is viewed as
central to quality
care. (Bruner,1985;
Labun, 988; Sims,
1987)
The nurse must expand his or her awareness and
competence in the spiritual dimension.
(Nelson,1984)
3 Key Concepts of Spiritual Care

Awareness use of self


Spiritual dimensions of the nursing process
Assurance and quality of expertise
Julia Lane's approach to Spiritual Care

3 Parts
1. Identifying the characteristics of spiritual care in
relation to the essential nature of human person
2. Identifying spiritual care interventions
3. Viewing nursing as a vocation
5 Spiritual Care Interventions
Listening to patient express key concerns
Praying with the patient
Reading favorite portions of religious readings
Spending time with patient
Making referrals to chaplain
The nurse must attempt to respect and
understand a patient's religious beliefs and
practices, even if they are different from his or
her own.
The nurse must take time to allow the patient
express religious, ethical or philosophical views
as well as fears and anxieties related to his or
her own spiritual belief system.
The nurse must be spiritually supportive,
assisting the patient whenever it is within the
realm of his or her understanding or expertise,
and recognize the seek outside spiritual or
ministerial counseling, either personally or for
the client, when the situation warrants. (O'Brien,
1982)
According to Mary Sweat, a pediatric nurse,
simply providing a quiet place is a huge part of
spiritual care.
4 Premises:
1. Respect privacy
2. Create environment that promotes respect
3. Respect individual preferences
4. Respect Yourself
Seven Point Manifesto for integrating Spirituality
and Nursing Care
1. Spirituality care is not a luxury . . . but goes to the
heart of care.
2. Educational programs that nurses undertake must
provide an in-depth understanding of what people
mean by spirituality
3. Imaginative educational programs for nurses relating to
spiritual care (should be offered).
4. The workplaces of nurses should ideally provide all
patients with access to spiritual support
5. Spirituality has direct effect on health and well
being.
6. Spiritual care is essential for the ongoing
training of all nurses.
7. Spiritual Care is also a part of enhancing the
health environment.
All nursess are RESPONSIBLE for being AWARE of
and SENSITIVE to their patients' spiritual needs
as a dimension of holistic care.
The nurse must consider spiritual needs as a part
of a comprehensive nursing assessment.
Awareness and Culture

Culture refers to the religious belief, customs,


traditions that sums up the way of living.
A broad understanding of patient's culture will
assist identifying spiritual problems and in
making referrals to an appropriate pastoral
caregiver.
POINTS TO REMEMBER
Each person is unique. The nurse must provide
spiritual care that is not derived from a
procedure book of orders.
To intervene in the spiritual needs of others, the
nurse must first understand his or her own
spirituality or relationship to God.
Be sensitive to your clients feelings and needs.